Individual
NICOLE CRONISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 INTERNATIONAL DR FL 23, BALTIMORE, MD 21202-4737
(443) 656-9050
Mailing address
8449 MIRAMAR RD, PASADENA, MD 21122-2648
(540) 840-6376
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K-520-630-210-592
DRIVER'S LICENSE
MD
Enumeration date
08/28/2018
Last updated
12/20/2023
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